Active NPI
Pamela Oliver
- Medical Physician Assistant
- Fresno, CA
National Provider Identifier
1881972164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15739
- Practice address
- 1187 E Herndon Ave Ste 106
Fresno, CA 93720-3166 - Phone
- (559) 224-0900
- Fax
- (559) 224-9009
- NPI assigned
- Aug 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15739 | CA | Primary |
Addresses
Primary practice location
1187 E Herndon Ave Ste 106
Fresno, CA 93720-3166
Mailing address
3812 N 1St St
Fresno, CA 93726-4301
Phone (559) 495-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15739 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- pamela.oliver.p1@direct.spocortho.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1881972164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 N 1ST ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264301",
"telephone_number": "559-495-3120",
"fax_number": "559-441-4271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 E HERNDON AVE STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203166",
"telephone_number": "559-224-0900",
"fax_number": "559-224-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.